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The "Health Coaching" programme: a new patient-centred and visually supported approach for health behaviour change in primary care.

Neuner-Jehle S, Schmid M, Grüninger U - BMC Fam Pract (2013)

Bottom Line: In total, 37% (n=350) of the patients enrolled in step 1 completed the entire 4-Step counselling process, with each step taking 8-22 minutes. 50% of ratings (n=303) improved by one or two categories in the three-colour circle, and the proportion of favourable health behaviour ratings increased from 9% to 39%.The ratings for motivation, concept, acceptance, and feasibility of the "Health Coaching" programme were consistently high.Randomised controlled studies will have to establish cost-effectiveness and promote dissemination.

View Article: PubMed Central - HTML - PubMed

Affiliation: Institute of General Practice and Health Services Research, University of Zürich, Pestalozzistrasse 24, Zürich 8091, Switzerland. sneuner@bluewin.ch

ABSTRACT

Background: Health related behaviour is an important determinant of chronic disease, with a high impact on public health. Motivating and assisting people to change their unfavourable health behaviour is thus a major challenge for health professionals. The objective of the study was to develop a structured programme of counselling in primary care practice, and to test its feasibility and acceptance among general practitioners (GPs) and their patients.

Methods: Our new concept integrates change of roles, shared responsibility, patient-centredness, and modern communication techniques-such as motivational interviewing. A new colour-coded visual communication tool is used for the purpose of leading through the 4-step counselling process. As doctors' communication skills are crucial, communication training is a mandatory part of the programme. We tested the feasibility and acceptance of the "Health Coaching" programme with 20 GPs and 1045 patients, using questionnaires and semistructured interviewing techniques. The main outcomes were participation rates; the duration of counselling; patients' self-rated behavioural change in their areas of choice; and ratings of motivational, conceptual, acceptance, and feasibility issues.

Results: In total, 37% (n=350) of the patients enrolled in step 1 completed the entire 4-Step counselling process, with each step taking 8-22 minutes. 50% of ratings (n=303) improved by one or two categories in the three-colour circle, and the proportion of favourable health behaviour ratings increased from 9% to 39%. The ratings for motivation, concept, acceptance, and feasibility of the "Health Coaching" programme were consistently high.

Conclusions: Our innovative, patient-centred counselling programme for health behaviour change was well accepted and feasible among patients and physicians in a primary care setting. Randomised controlled studies will have to establish cost-effectiveness and promote dissemination.

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Related in: MedlinePlus

Stepwise counselling of the “Health Coaching“ programme.
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Figure 2: Stepwise counselling of the “Health Coaching“ programme.

Mentions: Each step of counselling in the Health Coaching programme refers to a step of change in awareness, motivation, or action on the part of patient, in the sense of the TTM [7] stages of behavioural change (Figure 2). This process is based on the fact that on beginning counselling, people are at various stages of change or readiness for a change:


The "Health Coaching" programme: a new patient-centred and visually supported approach for health behaviour change in primary care.

Neuner-Jehle S, Schmid M, Grüninger U - BMC Fam Pract (2013)

Stepwise counselling of the “Health Coaching“ programme.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750840&req=5

Figure 2: Stepwise counselling of the “Health Coaching“ programme.
Mentions: Each step of counselling in the Health Coaching programme refers to a step of change in awareness, motivation, or action on the part of patient, in the sense of the TTM [7] stages of behavioural change (Figure 2). This process is based on the fact that on beginning counselling, people are at various stages of change or readiness for a change:

Bottom Line: In total, 37% (n=350) of the patients enrolled in step 1 completed the entire 4-Step counselling process, with each step taking 8-22 minutes. 50% of ratings (n=303) improved by one or two categories in the three-colour circle, and the proportion of favourable health behaviour ratings increased from 9% to 39%.The ratings for motivation, concept, acceptance, and feasibility of the "Health Coaching" programme were consistently high.Randomised controlled studies will have to establish cost-effectiveness and promote dissemination.

View Article: PubMed Central - HTML - PubMed

Affiliation: Institute of General Practice and Health Services Research, University of Zürich, Pestalozzistrasse 24, Zürich 8091, Switzerland. sneuner@bluewin.ch

ABSTRACT

Background: Health related behaviour is an important determinant of chronic disease, with a high impact on public health. Motivating and assisting people to change their unfavourable health behaviour is thus a major challenge for health professionals. The objective of the study was to develop a structured programme of counselling in primary care practice, and to test its feasibility and acceptance among general practitioners (GPs) and their patients.

Methods: Our new concept integrates change of roles, shared responsibility, patient-centredness, and modern communication techniques-such as motivational interviewing. A new colour-coded visual communication tool is used for the purpose of leading through the 4-step counselling process. As doctors' communication skills are crucial, communication training is a mandatory part of the programme. We tested the feasibility and acceptance of the "Health Coaching" programme with 20 GPs and 1045 patients, using questionnaires and semistructured interviewing techniques. The main outcomes were participation rates; the duration of counselling; patients' self-rated behavioural change in their areas of choice; and ratings of motivational, conceptual, acceptance, and feasibility issues.

Results: In total, 37% (n=350) of the patients enrolled in step 1 completed the entire 4-Step counselling process, with each step taking 8-22 minutes. 50% of ratings (n=303) improved by one or two categories in the three-colour circle, and the proportion of favourable health behaviour ratings increased from 9% to 39%. The ratings for motivation, concept, acceptance, and feasibility of the "Health Coaching" programme were consistently high.

Conclusions: Our innovative, patient-centred counselling programme for health behaviour change was well accepted and feasible among patients and physicians in a primary care setting. Randomised controlled studies will have to establish cost-effectiveness and promote dissemination.

Show MeSH
Related in: MedlinePlus